2017-09-28_REVISION - M1981185 ‎(118)‎

• Permit No: M1981185
• IBM Index Class Name: Revision
• Doc Date: 9/28/2017
• Doc Name Note: Part 12 of 12
• Doc Name: Request For Amendment To Permit
• From: Sunrise Mining, LLC
• To: DRMS
• Type & Sequence: AM2
• Email Name: LJW
• Email Name: GRM
• Media Type: D
• Archive: No

Stormwater Management Plan
Federal, State, or Local Storm Water or other
Environmental Inspector Site Visit Log
Inspectors Name: Agency:
Contractors Representative Present:
Others Present:
Comments:
Time and Date: Report Prepared:
Date/Time Inspection Reported to Mr. Robinson/SWA:
Date/Time Inspection Report faxed to Mr. Robinson/SWA (n/a if not applicable):
Inspectors Name: Agency:
Contractors Representative Present:
Others Present:
Comments:
Time and Date: Report Prepared:
Date/Time Inspection Reported to Mr. Robinson/SWA:
Date/Time Inspection Report faxed to Mr. Robinson/SWA (n/a if not applicable):
Inspectors Name: Agency:
Contractors Representative Present:
Others Present:
Comments:
Yes No
Yes No
Time and Date: Report Prepared: Yes No
Date/Time Inspection Reported to Mr. Robinson/SWA:
Date/Time Inspection Report faxed to Mr. Robinson/SWA (n/a if not applicable):
George M.L. Robinson (720-641-2534) or the Storm Water Administrator must be contacted at the
conclusion of any storm water -related agency inspection. Caller must provide as a minimum the date,
inspection beginning and completion times, inspecting agency, agency inspector name, all contractor
Sunrise Mining, LLC
Revised August 9, 2017
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